Organization Active NPI

Robert W. Yates, DDS, Troy W. Yates, DDS, PC

  • General Practice Dentistry
  • Salt Lake City, UT
National Provider Identifier
1124335468
Registry record updated Sep 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
128081-9921 Issued in UT
Legal business name
ROBERT W. YATES, DDS, TROY W. YATES, DDS, PC
Practice address
6936 So. Promenade Dr.
Suite 202
Salt Lake City, UT 84121
Phone
(801) 943-4577
Fax
(801) 943-4577
NPI assigned
Sep 8, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert W. Yates, D.D.S.
Title
PTR
Phone
(801) 943-4577

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X 128081-9921 UT Primary

Addresses

Primary practice location

6936 So. Promenade Dr.
Suite 202
Salt Lake City, UT 84121

Mailing address

6936 So. Promenade Dr.
Suite 202
Salt Lake City, UT 84121
Phone (801) 943-4577

National Provider Directory

National Provider Directory
Tax ID family
Robert W Yates DDS Troy W Yates DDS PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

6936 S Promenade Dr
Ste 202
Salt Lake City, UT 84121
Phone (801) 943-4577

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1283904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1124335468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6936 SO. PROMENADE DR.",
            "address_2": "SUITE 202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84121",
            "telephone_number": "801-943-4577",
            "fax_number": "801-943-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6936 SO. PROMENADE DR.",
            "address_2": "SUITE 202",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84121",
            "telephone_number": "801-943-4577",
            "fax_number": "801-943-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT W. YATES, DDS, TROY W. YATES, DDS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-08",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "YATES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PTR",
        "authorized_official_telephone_number": "801-943-4577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "128081-9921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.